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Glucose Lowering Therapeutic Strategies for Type 2 Diabetic Patients with Chronic Kidney Disease in Primary Care Setting in France : A Cross-Sectional Study
Joint Authors
Vergès, B.
Delaitre, O.
Toussi, M.
Grandfils, N.
Simon, D.
Joly, D.
Attali, C.
Briand, Y.
Detournay, B.
Source
International Journal of Endocrinology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Aim.
To understand glucose lowering therapeutic strategies of French general practitioners (GPs) in the management of type 2 diabetes mellitus (T2DM) patients with chronic kidney disease (CKD).
Methods.
A multicenter cross-sectional study was conducted from March to June 2011 among a sample of French GPs who contribute to the IMS Lifelink Disease Analyzer database.
Eligible patients were those with T2DM and moderate-to-severe CKD who visited their GPs at least once during the study period.
Data were collected through electronic medical records and an additional questionnaire.
Results.
116 GPs included 297 patients: 86 with stage 3a (Group 1, GFR = 45–60 mL/min/1.73 m2) and 211 with stages 3b, 4, or 5 (Group 2, GFR < 45 mL/min/1.73 m2).
Patients’ mean age was approximately 75 years.
Insulin was used in 19% of patients, and was predominant in those with severe CKD.
More than two-thirds of patients were treated with glucose lowering agents which were either contraindicated or not recommended for CKD.
Conclusion Physicians most commonly considered the severity of diabetes and not CKD in their therapeutic decision making, exposing patients to potential iatrogenic risks.
The recent patient oriented approach and individualization of glycemic objectives according to patient profile rather than standard HbA1c would improve this situation.
American Psychological Association (APA)
Grandfils, N.& Detournay, B.& Attali, C.& Joly, D.& Simon, D.& Vergès, B.…[et al.]. 2013. Glucose Lowering Therapeutic Strategies for Type 2 Diabetic Patients with Chronic Kidney Disease in Primary Care Setting in France : A Cross-Sectional Study. International Journal of Endocrinology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-487436
Modern Language Association (MLA)
Grandfils, N.…[et al.]. Glucose Lowering Therapeutic Strategies for Type 2 Diabetic Patients with Chronic Kidney Disease in Primary Care Setting in France : A Cross-Sectional Study. International Journal of Endocrinology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-487436
American Medical Association (AMA)
Grandfils, N.& Detournay, B.& Attali, C.& Joly, D.& Simon, D.& Vergès, B.…[et al.]. Glucose Lowering Therapeutic Strategies for Type 2 Diabetic Patients with Chronic Kidney Disease in Primary Care Setting in France : A Cross-Sectional Study. International Journal of Endocrinology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-487436
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-487436